1. 1 Roadmap to Achieve 31.12.2011 RBM Targets ETHIOPIA January 2011 – December 2011 [ETHIOPIA]

2. 2 Country Summary (Interventions & Services) Population at Risk: 68% of 79,835354=54,288041 Interventi on Operational objectives/targets for 2011 Need to end 2011Already covered Funded and expected to be distributed before end of 2011 Commodity Gap (Quantity) Financial Gap (USD) LLINs (Universal Access) To achieve universal coverage( if not yet achieved but feasible in 2011) Define how universal coverage target was calculated e.g. 1 net for 1.8 persons 2LLINs per HH Mass Campaign: Total number of nets required to reach the operational target (23.1 million LLINs) Mass Campaign: Active nets already in the community # (19.7 million LLIN) # based on number of nets already distributed in last three years Mass Campaign: Total number of nets for which financing is already pledged (3.4 million LLIN) Mass Campaign: Number of nets for which financing has to be mobilized to achieve the operational target within 2011 (None) Include funding total gap ZERO Routine distribution: Total number of nets required to reach the operational target (state what target group is e.g. pregnant women through ANC, infants with routine EPI) (16,289 LLINs) Routine distribution: Active nets already in the community # # based on number of nets already distributed in last three years Zero Routine distribution: Total number of nets for which financing is already pledged (Zero) Routine distribution: Number of nets for which financing has to be mobilized to achieve the operational target within 2011 (16,289 LLINs) Include funding total gap (87,960) Total nets needed in 2011 = 23,117,583 Total nets already distributed = 19.7 M Total nets where financing is already pledged 3.4 M Total gap (number) 16,289 Total gap (US$) (87,960)

3. 3 Country Summary (Interventions & Services) Interventi on Operational objectives/targets for 2011 Need to end 2011 Already covered Funded and expected to be distributed before end of 2011 Commodity Gap (Quantity) Financial Gap (USD) ACTs To sustain Universal coverage* of malaria treatment with ACTs) *define universal coverage target e.g. whole population, population treated through the public health services and private sector etc) Total number of doses to be made available during the year 9,415,740 Doses already in stock Number of doses for which financing is already pledged or committed 9,000,000 Number of doses for which additional financing has to be mobilized to achieve the planned operational target 415,740 481,427

4. 4 Country Summary (Interventions &Services) (Cont'd ) InterventionOperational objectives/targets for 2011 Need to end 2011 Already covered Funded and expected to be distributed before end of 2011 Commodity Gap (Quantity) Financial Gap (USD) IRSDefine target coverage by country To expand coverage to 75% IRS targeted through spraying of 9,051,173 unit structures 9,051,173 unit structures to be sprayed protecting 75% of the IRS targeted population Insert the cost per structure sprayed. Unit cost for chemical=US$ 5.67, unit cost operational cost= US$ 1.5 Insert the number of structures which can sprayed using existing resources =5,769,789 Total number of structures for which financing is already pledged or committed 5,769,789 Number of structures for which additional financing has to be mobilized to achieve the planned operational target=3,281,384 18,605,44 8 RDTs and microscopyTo expand coverage of parasitological diagnosis to a given level (universal coverage by 2011) *define coverage target e.g. whole population, population treated through the public health services and private sector etc Total number of RDTs to be made available during the year 19.7 million RDTs already in stock No. of RDTs for which financing is already pledged or committed (5.7 million) No. of RDTs for which additional financing has to be mobilized to achieve the planned operational target 14 million USD13.3 million Total number of microscopy tests to be made available during the year 4.2 million Microscopy tests already in stock Number of microscopy tests for which financing is already pledged or committed 4.2 million No. of microscopy tests for which additional financing has to be mobilized to achieve the planned operational target zero zero Total diagnosis target 23.9 million test total diagnostics already in stock Total diagnostics already pledged =9.9 million Total gap in diagnostics 14 million US$13.3 Million

5. 5 Country Summary (Interventions &Services) (Cont'd ) InterventionOperational objectives/targets for 2011 Need to end 2011 Already covered Funded and expected to be distributed before end of 2011 Commodity Gap (Quantity) Financial Gap (USD) IPTp Not applicable in Ethiopia To sustain Universal coverage (if Universal coverage already achieved by 2010) or To achieve universal coverage (if not yet achieved but feasible in 2011) or To expand coverage to a given level (if Universal coverage still not feasible within 2011) Total number of doses to be made available during the year to cover X% of pregnant women Doses already in stock Number of doses for which financing is already pledged or committed Number of doses for which additional financing has to be mobilized to achieve the planned operational target

6. 6 Country Summary (Cross cutting issues) InterventionOperational targets/Objectives for 2011 Strategies/ActionsResource requirement (USD) Available budget (USD) Budget Gap (USD) M&E To strengthen program M&E and implement operational research to establish a comprehensive evidence to inform decisions and program reporting - MIS, efficacy study (drug, insecticides), health facility survey, MPR, SMS 7.89 million6,496,750 1,393,250 BCC/IECachieve 80% utilization rates for LLINs, strengthen treatment- seeking behavior and increased acceptance of IRS through scaling- up behavioral change communication (BCC) activities -community conversation, -IEC/BCC activities through HEP -Mass media, mobile video, -Community mobilization 6,285,2305,138,0001,147,230 Human Resources (Cap Bldg) To strengthen HR in malarious districts targeting staff caring out malaria activities both at program Mx and implementation level ???6,543,543??? Insert others as required e.g. CSS, HSS, OR

7. 7 Assumptions for calculating the needs (Quantity and Funding) to achieve 2011 Targets Justify the assumptions used for calculating the targets e.g. Universal Coverage for LLINs is planned at the end of Year 3 (2013) therefore a pro-rata has been calculated for 2011 e.g. Net coverage calculated based on 1.8 persons per net and a net attrition rate of 8% year 1, 20% year 2 and 50% year 3; routine nets based on 90% of pregnant women accessing ANC e.g. Parasitological diagnosis targets all age groups with 30% microscopy and 70% RDTs targeting 100 % of population attending public health services (includes health facilities and community case management)

8. 8 Implementation Plan - LLINs Major action / Output / Milestone TIMEFRAME JFMAMJJASOND Delivery of 3.4 million LLINs to EthiopiaXX Distribution to districtsX Routine (keep-up distribution at health posts)XXXXXXXX

9. 9 LLIN resources available to achieve the 2011 targets (including timing of disbursements) Funds available (USD)Source of fundingTIMEFRAME JFMAMJJASOND Funds to procure LLINs Funds (US$ 17 million ) to deliver (3.4 million) of LLINs PMI, WBProcurement process initiated XX

10. 10 Implementation Plan - IRS Major action / Output / Milestone TIMEFRAME JFMAMJJASOND Procurement of insecticide and spray equipmentsXX Distribution to district health officesxx Preparation of spray operation including orientation of health professionals and training spray operatorsxxx Implementation of IRS operationxxX

11. 11 IRS resources available to achieve the 2011 targets Funds available (USD)Source of fundingCommentTIMEFRAME JFMAMJJASOND Funds [USD 18 million] is estimated to be available to spray 5.7 million unit structures Government, PMI, GFATM Additional financial resource is required to fill insectcide gaps and to fully achieve the 2011 IRS target XXXX

12. 12 Implementation Plan – Case Mgt Major action / Output / Milestone TIMEFRAME JFMAMJJASOND Procurement of ACT, RDTXX Delivery to EthiopiaXXX Distribution to health facilitiesXXXXXXXXX

13. 13 Case Management resources available to achieve the 2011 targets Funds available (USD)Source of fundingCommentTIMEFRAME JFMAMJJASOND Funds to procure [6 million] of ACTs UNITAID Funds to deliver (3 million) of ACTs PMI X Funds to procure [3.9 million] of RDTs GFATM R8 Funds to deliver (1.5 million) of RDTs PMI X

14. 14 Implementation Plan – IPTp Major action / Output / Milestone TIMEFRAME JFMAMJJASOND Not applicableXX XX

15. 15 IPTp resources available to achieve the 2011 targets Funds available (USD)Source of fundingCommentTIMEFRAME JFMAMJJASOND Funds to procure [no] of IPTp doses for X pw Enter financing Organization Funds to distribute procure [no] of IPTp doses

16. 16 Implementation Plan – Cross cutting Major action / Output / Milestone TIMEFRAME JFMAMJJASOND MIS 2011XXXXXXX MPRXXXXX Insecticide efficacy studyXX Health facility survey Basic malariology trainingXXX CCM trainingXXXXXXXXX IEC/BCC Mass mediaXXXXXXXXXXXXX IEC/BCC activities through HEPXXXXXXXXXXXXX

17. 17 Cross-cutting resources available to achieve the 2011 targets Funds available (USD)Source of fundingCommentTIMEFRAME JFMAMJJASOND M&E- MIS 2011GFATM R8, PMI, UNICEF,MACEPA, carter center, WHO No gap XXXXXX M&E -MPREARN, MACEPA, UNICEF, PMI ? We don’t have incountry partners allocation of funds XXXX

18. 18 Summary of technical assistance needs to end 2011 Area of Need Type of support required Resources available Source of funding TIMEFRAME JFMAMJJASOND LLINs IRSSelection of insecticides for IRS X ACT RDTs/micr oscopy Cross cutting SurveillanceXX MPRXXX MIS 2011XXX Program Managem ent / Partnershi ps GF Grant Implement ation other

19. 19 Summary of rate-limiting factors/solutions over the next 12 months - threats Potential threats to achieving targets -Insufficient fund for IRS chemical procurement - Relaxation of efforts due to reduced level of malaria transmission - Logistic supply management- procurement, storage, distribution - Expertise